Colonic adenomas are less likely to be malignant if they have a smooth surface. Whether benign or malignant, colon adenomas detected under colonoscopic conditions are recommended for pathologic examination.
Colonic adenomas refer to elevated lesions on the mucosal surface of the colon that protrude into the intestinal lumen, including adenomas, pediatric polyps, inflammatory polyps, and polyposis, etc. If left untreated, they may become cancerous. If left untreated, colonic adenomas are at risk of becoming cancerous.
The surface of a colonic adenoma is brittle, bleeds easily when touched, and is prone to ulcers, which indicates a high likelihood of malignancy, as well as a less than smooth surface.
Once the colonoscopy shows that the surface of the colonic adenoma is smooth and the tumor is small, it is less likely to be malignant; otherwise, it is likely to be malignant and the adenoma should be removed and pathologically examined under colonoscopy. If the tumor is relatively large and difficult to remove under colonoscopy, laparoscopic surgery or open surgery can be performed to remove it.
If the pathology report is malignant, further chemotherapy and regular follow-up are required. If the pathology report is benign, further treatment may not be needed, but regular review is also required.